Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $49.20	Facility		$48.00	$48.00	$49.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.29 / $56.40 / $101.00	Professional		$45.29	$56.40	$101.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.89 / $64.48 / $299.64	Professional		$26.89	$64.48	$299.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.26 / $62.26 / $62.26	Facility		$62.26	$62.26	$62.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $45.92 / $45.92	Professional		$45.92	$45.92	$45.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $48.00 / $57.60	Professional		$48.00	$48.00	$57.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $638.07 / $801.00	Professional		$105.00	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $107.31 / $295.58 / $306.38	Facility		$107.31	$295.58	$306.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $362.37 / $362.37 / $472.43	Professional		$362.37	$362.37	$472.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.44 / $77.40 / $123.69	Facility		$52.44	$77.40	$123.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $45.92 / $45.92	Professional		$45.92	$45.92	$45.92
United Facility/Professional Professional Modifier Low / Median / High Price $48.51 / $64.12 / $148.04	Professional		$48.51	$64.12	$148.04